Provider Demographics
NPI:1437303922
Name:COX & EVANS ENTERPRISE
Entity type:Organization
Organization Name:COX & EVANS ENTERPRISE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YUREE
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-373-3344
Mailing Address - Street 1:2964 TERRY RD STE B2
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-3070
Mailing Address - Country:US
Mailing Address - Phone:601-373-3344
Mailing Address - Fax:601-373-3345
Practice Address - Street 1:2964 TERRY RD STE B2
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-3070
Practice Address - Country:US
Practice Address - Phone:601-373-3344
Practice Address - Fax:601-373-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech